[Endovascular management of residual intracranial aneurysms after surgical clipping]. / Manejo endovascular de aneurismas intracraneales (AI) residuales posquirúrgicos.

ABSTRACT

OBJECTIVES: To identify and evaluate the cerebral aneurysm remnants after clipping and the endovascular treatment in our institution. METHODS AND MATERIALS We made a clinical ambispective collection of all aneurysms microsurgically clipped during four years and we analyzed their endovascular treatment. RESULTS: There were 290 cerebral aneurysms; in 270 a digital subtraction angiography was made. Ten aneurysm remnants were found (3.7%); of these, a second operation was performed on two, and coil placement was done in six patients. CONCLUSION: The cerebral aneurysm remnants after clipping in our institution are equivalent to international results. The endovascular treatment of this aneurysm is safe and effective.